HOWARD SCOTT BERLIN MD
NPI 1568426856
Ophthalmology - Glaucoma Specialist in Phoenix, AZ

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
84.13/100
CMS Quality Rating
4800 N 22ND ST, PHOENIX, AZ 85016(602) 955-1000(602) 508-4830 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2019, Apr 30, 2019 (2 updates tracked since 2019).

About Howard Scott Berlin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOWARD SCOTT BERLIN MD (NPI 1568426856) is an individual glaucoma specialist in Phoenix, Arizona, licensed in Arizona (16178) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Scottsdale, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1568426856
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameHOWARD SCOTT BERLINCredential: MD
Location Address4800 N 22ND STPhoenix, AZ 85016-4701
Mailing Address4800 N 22nd StPhoenix, AZ 85016-4701 · (602) 955-1000 · Fax (602) 508-4830
Fax(602) 508-4830
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 13, 2006
Last NPPES UpdateMay 7, 20192 updates tracked since enumeration
NPI 1568426856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in AZ · 16178
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License 16178 (AZ)
4800 N 22ND ST, Phoenix, AZ 85016

Secondary Practice Location 1

Location 14921 E Bell Rd Ste 102Scottsdale, AZ 85254-6002 · Phone (602) 787-9100 · Fax (602) 508-4830

Other Identifiers 1

Medicaid171314AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Howard Scott Berlin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810097979
PECOS Enrollment IDI20070703000381
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
212 services189 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
145 services145 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
99 services95 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
92 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services77 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
76 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.93
Promoting Interoperability100
Improvement Activities40
Cost53.19

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4800 N 22ND ST
PHOENIX, AZ 85016
Ophthalmology
4800 N 22ND ST
PHOENIX, AZ 85016
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Howard Berlin's NPI number?

The NPI number for Howard Berlin is 1568426856. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Howard Berlin located?

Howard Berlin practices at 4800 N 22nd St, Phoenix, AZ 85016. The listed phone number is (602) 955-1000.

What is Howard Berlin's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Howard Berlin enrolled in Medicare?

Yes. Howard Berlin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Howard Berlin accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Howard Berlin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Howard Berlin was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.